论文部分内容阅读
目的 评价13 1I MIBG肾上腺髓质显像对儿茶酚胺症的诊断价值。 方法 总结 96例儿茶酚胺症及 197例其他疾病患者行13 1I MIBG肾上腺髓质显像的临床资料。 结果 6 0例嗜铬细胞瘤显像 5 6例 (93.3% ) ,36例肾上腺髓质增生显像 33例 (91.7% ) ;138例原发性高血压、49例肾上腺及其他部位非嗜铬细胞瘤性占位、4例嗜铬细胞瘤术前、10例手术治愈的嗜铬细胞瘤患者、3例肾上腺髓质增生患者呈阴性显像。本组总阳性率 92 .7% (89/ 96 ) ,明显高于生化、B超、CT、MRI等检查的阳性率。 结论 13 1I MIBG肾上腺髓质显像对儿茶酚胺症具有良好的定位、定性价值。对静止期、异位及多发的嗜铬细胞瘤、恶性嗜铬细胞瘤转移灶、肾上腺髓质增生的诊断价值优于其它检查。同时可用于原发性高血压及其他占位性病变与儿茶酚胺症的鉴别诊断。
Objective To evaluate the value of 13 1I MIBG in the diagnosis of catecholamine. Methods The clinical data of 96 cases of catecholamine and 197 cases of other diseases were analyzed. Results Sixty patients (93.3%) had pheochromocytoma and 33 (91.7%) had 36 patients with adrenal hyperplasia; 138 patients with essential hypertension, 49 patients with adrenal glands and other non-chromogenic 4 cases of pheochromocytoma preoperatively, 10 cases of patients with pheochromocytoma cured, 3 cases of adrenal medulla hyperplasia was negative imaging. The positive rate of 92.7% (89/96) in this group was significantly higher than that of biochemical, B ultrasound, CT, MRI and other tests. Conclusion 13 1I MIBG adrenomedullin imaging of catecholamines have good positioning, qualitative value. The quiescent, ectopic and multiple pheochromocytoma, malignant pheochromocytoma metastases, adrenal medulla hyperplasia diagnostic value is better than other tests. At the same time can be used for the differential diagnosis of essential hypertension and other space-occupying lesions and catecholamines.